Eve Renee Fuller, RN, LVN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95133035 Issued in CA

Practice address

3105 E Fremont Ave
Fresno, CA 93710

Phone

(559) 417-7770

NPI assigned

Jul 29, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1669786877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 E FREMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104905",
            "telephone_number": "559-417-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 E FREMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-417-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "EVE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RN, LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95133035",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 195375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Fukuda, M.A., CCC-SLP
• Amanda Joy Fulcher, ACCBC-15609-RAC
• Michael Anthony Stephon Fulford
• Araujanae Fuller
• Cajanae Fuller
• Imonni J Fuller
• Marcus Fuller, LCSW
• Nikol Fuller, NP
• Tammy Lynn Fuller
• Toccara La'Janda Fuller, RN

• Registered Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.